Actively Recruiting

Phase 2
Age: 18Years - 80Years
All Genders
ID06846554

A Phase 2, Multicentre, Open-Label Trial to Evaluate APL-9796 in Adult Participants With Pulmonary Hypertension (ViTAL-PH)

Led by Apollo Therapeutics Ltd · Updated on 2026-05-11

48

Participants Needed

6

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the safety, tolerability, and potential effectiveness of multiple subcutaneous injections of APL-9796 in adults with pulmonary hypertension (PH) in this phase 2, open-label dose escalation trial. The study focuses on adults diagnosed with WHO Group 1 Pulmonary Arterial Hypertension (PAH) and optionally includes adults with WHO Group 3 PH associated with interstitial lung disease (PH-ILD). The trial also monitors whether the body produces antibodies against APL-9796. The study is conducted in two parts with different participant groups. Part A involves up to 36 adults with WHO Group 1 PAH receiving one of three planned dose levels of APL-9796, evaluated sequentially in cohorts of four participants. An optional Part B may include up to 12 adults with WHO Group 3 PH-ILD, with initiation decided by a Safety Review Committee. The treatment is given as subcutaneous injections, and dose levels are adjusted based on ongoing safety data. Participants will be assessed through various evaluations including telemetry parameters, six-minute walk tests, NT-proBNP blood tests, and quality of life questionnaires from baseline through day 169. Pharmacokinetics and immune response to APL-9796 will be monitored at regular visits approximately every 28 days until day 169, with additional follow-ups on days 254, 339, and 508. The primary outcome focuses on the incidence of treatment-emergent adverse events over about two years, ensuring thorough safety and tolerability monitoring throughout the study.

CONDITIONS

Brief Title

A Trial of "APL-9796'' in Adults With Pulmonary Hypertension

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants must be between 18 and 80 years old inclusive
  • Diagnosed with pulmonary hypertension by right heart catheterisation at any time before screening
  • WHO Functional Class II or III
  • Have a CardioMEMS PA Sensor implanted
Not Eligible

You will not qualify if you...

  • Hospital admission related to pulmonary hypertension within 3 months prior to screening
  • Major surgery within 3 months prior to screening unless fully recovered
  • Pulmonary hypertension caused by HIV, portal hypertension, schistosomiasis, or uncorrected congenital heart disease
  • History of left-sided heart disease or significant cardiac disease
  • History of uncontrolled high blood pressure
  • Estimated glomerular filtration rate (eGFR) less than 30 ml/min/1.73m2
  • Life expectancy less than 12 months as assessed by the investigator
  • Diagnosed with cancer within 5 years before enrollment
  • Contraindications to required imaging, diagnostic, or sampling procedures

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Approximately 6 months (up to Day 169)

Participants receive APL-9796 drug treatment with dose levels determined sequentially in cohorts. Treatment includes approximately every 28-day visits for dosing and assessments.

Visits approximately every 28 days until Day 169, then visits at Day 254, Day 339, and Day 508

Follow-up

Duration - Up to approximately 17 months following Day 169 (until Day 508)

Participants continue to be monitored for safety and treatment effects after the main treatment period ends.

Visits at Day 254, Day 339, and Day 508

Trial Site Locations

Total: 6 locations

1

Hammersmith/Imperial Hospital

London, London, United Kingdom, W12 0HS

Actively Recruiting

2

Royal United Hospital Bath

Bath, United Kingdom

Actively Recruiting

3

Royal Papworth Hospital

Cambridge, United Kingdom

Actively Recruiting

4

Golden Jubilee Hospital

Clydebank, United Kingdom

Actively Recruiting

5

Royal Brompton Hospital

London, United Kingdom

Actively Recruiting

6

Sheffield Teaching Hospitals

Sheffield, United Kingdom

Actively Recruiting

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Research Team

S

Sanjay Aggarwal, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

2

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